Kolon volvulusları: süregelen cerrahi problem ve tedavi seçenekleri

Cilt: 48 Sayı: 2 1 Haziran 2009
  • Yakan S
  • Şirinocak A
  • Telciler K E
  • Yılmaz S
  • Deneçli A G
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Colonic volvulus: continuing surgical problem and treatment options

Abstract

Aim: Colonic volvulus is a cause of acute abdomen which needs prompt diagnosis and treatment. There are a number of different surgical and nonsurgical treatment alternatives. Because of this reason we investigated results of patients operated for colonic volvulus and presented in this study. Material and Methods: Twenty eight patients operated for colonic volvulus at 1st Surgery Clinics at Izmir Bozyaka Education and Research Hospital were included and their records were retrospectively investigated. Results: Twenty eight colonic volvulus at 27 patients were operated at a 10 year period. Eleven(40,7 %) of the 27 cases were female, whereas 16(59,3) were male. The average age of the patients were 69(28-95). Twenty (70%) of the patients were preoperatively diagnosed; 10 of this 20 patients were treated with emergency laparotomy whereas the other 10 patients were treated with endoscopic decompression. Sixteen (56%) patients were treated with resection and colostomy, 8(28%) patients were treated with resection and anastomosis, 2 (7%) patients were treated with detortion, 1 patient was treated with detortion and sigmoidopexy, 1 patient was treated with resection and ileostomy. Mortality was seen at 2 cases (7%). Conclusion: Endoscopic decompression should be the first choice for suitable patients. Surgical treatment is inevitable if ischemia, gangren or perforation is present or if endoscopic decompression fails.

Keywords

Ayrıntılar

Birincil Dil

Türkçe

Konular

-

Bölüm

-

Yazarlar

Yakan S

Şirinocak A

Telciler K E

Yılmaz S

Deneçli A G

Yayımlanma Tarihi

1 Haziran 2009

Gönderilme Tarihi

1 Haziran 2009

Kabul Tarihi

-

Yayımlandığı Sayı

Yıl 2009 Cilt: 48 Sayı: 2

IZ

https://izlik.org/JA57YK85AL

Kaynak Göster

RIS / Bibtex
Vancouver
1.Yakan S, Şirinocak A, Telciler K E, Yılmaz S, Deneçli A G. Kolon volvulusları: süregelen cerrahi problem ve tedavi seçenekleri. ETD [Internet]. 01 Haziran 2009;48(2):89-93. Erişim adresi: https://izlik.org/JA57YK85AL

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